Medical Records

Release of Medical Records Information (DHMF)

All patients or their legal representatives of Mercy Medical Group (MMG) at Dignity Health Medical Foundation, may obtain and/or review a copy of medical records for personal use, or have copies of their medical records sent to their new healthcare provider. Record’s request made through this website are for clinic records only.

The Health Information Management Department of Dignity Health Medical Foundation requires patients to complete and sign an Authorization for Release of Health Information form before releasing any documents to another entity, including the patient.

How to Request Records

Patient Request

If you are requesting records for yourself, please use the below Patient Access form:

For Other Records

Questions

If you have any questions regarding release of Medical Information, please call us at 916.363.4040.

Important Information for Patients to Know

A patient can obtain a copy of his/her recent medical record via email. ROI department can provide copies of his/her most recent 2 years’ worth of records via email for no fee (free). It is faster and convenient to patient.

If you select to receive your medical records electronically, a Release of Information staff member will send you a message through Axway MailGate SC, Dignity Health’s secure emailing services. You will be prompt to create a password in which you can then login and view your message containing a PDF file of your medical records. If you need technical help with password setup, please contact our helpdesk at 1.888.307.0222.

Health Information Management charges patients $15.00 for more than 20 paper pages, $10.00 for Flash drive, and $15.00 for legal paper record. We only accept checks as a form of payment.

No charge applies for records of 2 years that are emailed to you or to your provider for continuity of patient care.

To minimize cost, please indicate what time period you are requesting, and/or specify which reports are needed.

Provide name(s) and the location(s) of your provider(s) on your ROI request.

Typically, the last two years of a patient’s records are sent to the new physician.

Please allow us up to 15 calendar days for request to be processed.

A patient can choose to pick up his/her record from 3291 Ramos Circle, Sacramento CA 95827. Patient’s photo ID is required at the time of pick up record.

If you find an error that requires correction, please discuss it with your provider or use the form provided below to request a correction/amendment. Please include a copy of the page(s) where the error(s) occur and the completed form. You will receive a written reply within 60-days but for more complex cases, this may be extended an additional 30 days.